O46.0/O46.8-9
DESCRIPTION
Vaginal bleeding in pregnancy from 22 'weeks' gestation.
Important causes include the following:
- abruptio placentae
- placenta praevia
- uterine rupture (particularly when misoprostol was used to attempt an unlawful TOP).
GENERAL MEASURES
- Monitor vital parameters, e.g. Hb, pulse, BP, temperature.
- Treat for shock if indicated.
Avoid vaginal examination, unless placenta praevia excluded with ultrasound.
MEDICINE TREATMENT
- Sodium chloride 0.9%, IV.
REFERRAL
Urgent
All patients.